在非冠状动脉病变中使用静脉内石
Chukwuemeka Anthony Umeh1, Ashley Stratton2, Tifani Wagner2
1Internal Medicine, Hemet Global Medical Center, Hemet, CA 92543, United States. emmyumeh@gmail.com.
World journal of cardiology
|September 29, 2023
概括
血管内透症 (IVL) 有效地治疗非冠状动脉中化的外周动脉疾病. 虽然通常是安全的,但像剖析这样的并发症可能会发生,特别是在大动脉门和部动脉.
科学领域:
- 心血管干预 心血管干预
- 血管内治疗疗法 血管内疗法
- 医疗器械技术 医疗器械技术
背景情况:
- 静脉内溶解 (IVL) 是一种在外周动脉疾病 (PAD) 中进行斑块修饰和再血管化的新技术.
- 现有的IVL文献主要集中在冠状动脉应用上,对其在非冠状动脉中的使用数据有限.
研究的目的:
- 评估静脉内石 (IVL) 在治疗非冠状动脉病变中的安全性和有效性.
- 分析现有案例报告和案例系列中报告的结果.
主要方法:
- 系统地搜索EMBASE,PubMed和参考引用分析数据库.
- 包括病例报告和病例系列,详细说明IVL在外周动脉疾病中的使用.
- 提取和分析患者的人口统计数据,病变特征和程序结果.
主要成果:
- 分析了33个病例报告/病例系列中的60名患者,治疗了64个病变.
- 在严重的 iliofemoral (51.6%),innominate/subclavian/carotid (26.7%), mesenteric (9.4%),renal (7.8%) 和 aortic (4.7%) 动脉狭窄症中观察到成功的IVL应用.
- 在12%的病例中出现并发症,剖析是最常见的不良事件.
结论:
- 静脉内石化术在各种非冠状动脉的复杂,化病变中成功地证明了斑块的修饰和再血管化.
- 虽然IVL在大动脉门和部动脉中的使用是有效的,但与最严重的并发症有关,尽管是短暂的.
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